Customer Service Insurance
Resume:
Caitlin Lewis
Virginia Beach VA 23462
*********@*****.***
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Objective:
To obtain position with a challenging company that offers me the
possibility of professional growth and career advancement opportunities.
Qualifications:
. Knowledge of CPT and ICD9 coding .
. Proficient in Medical Insurance Billing and, Medical Terminology.
. Hardworking, motivated, energetic, dedicated, and professional
individual able to serve clients in a conscientious and pleasant
manner.
. Outstanding oral and written communication skills.
. Extensive knowledge of principles and processes for providing
customer service, including customer needs assessment, meeting
quality standards for service, and evaluation of customer
satisfaction.
. Wide knowledge of principles and methods for showing, promoting,
and selling products or services, marketing strategy and tactics,
product demonstration, and sales techniques.
. Strong communication and interpersonal skills and abilities
Education:
American Intercontinental University
2009-2010
Studying for Medical Billing
Online University
Tidewater Community College
2006- 2007
Virginia Beach, VA 23462
Saratoga High School 2000-2004
Saratoga Springs NY 12866
Graduated with high honors and New York Regents Diploma
Experience:
May 10-Aug 10
Malta NY 12866
Gentiva Healthcare
Reimbursement Specialist
. Contact insurance companies to gather policy benefits/limitations
(e.g., deductible amount, co-payment, effective date, pre-existing
clauses, levels of care, pre-authorization requirement etc.)
. Monitor acceptance of new customer accounts for direct insurance
billing. Analyzes services to be provided by insurance companies
against medical criteria that must be met to obtain insurance
reimbursement.
. Review benefits/services requested to determine whether coverage is
available for insurance payment. Input data regarding insurance
company requirements for claims processing, correct billing address,
special claim forms, etc. Contact branch staff if no coverage is
available for requested services.
. Maintain/update information on insurance accounts. Determine primary
payer and coordinates multiple billings for clients with multiple
providers. Keep detailed/accurate records to ensure proper account
billing instructions.
January 10-May 10
Saratoga Hospital
Saratoga Springs,NY
Medical Billing Specialist/Posting Specialist
. Responsible for all Medicare claims for the hospital.
. Obtaining proper information for filing claims and following Medicare
guidelines .
. Posting Medicare payments, write offs and adjustments.
. Maintaining accurate reports and AR.
January 08-December 09
Atlantic Orthopaedic Specialist
Virginia Beach,VA
Authorization Specialist
. Responsible for validation of patient eligibility, benefits, and
authorization.
. Obtain referrals from primary care physicians for patients.
. Track treatment for all workers compensation patients and report
back to adjusters and nurse
case managers. .
. Daily comparison of physical therapy notes to HFCA's to ensure
documentation is in accordance with therapist's charges.
. Act as a liaison between case managers and adjusters for the
physical therapy department.
. Complete understanding on CPT codes,medical terminology,treatment
plans,ROM,EOB'S, managing AR etc.
Front Desk Receptionist
. Check patients in and out.
. Daily preparation of charts for therapist.
. Register all new patients for physical therapy as well as submit
their demographic information to obtain verification.
. Schedule new patient and follow-up physical therapy patients.
. Scan and index all physical therapy documentation.
. Monitor physical therapy patient attendance and call patients to
ensure they are complaint with the physicians order.
. Answer phones and help patient schedule appointments.
December 05- September 07
Darden Restaurants
Virginia Beach, VA
Server Trainer
. Training new employees in service procedures and sales of product
line.
. Participating in Manager meetings and giving valid opinions.
. Giving the future employees all the knowledge they needed to be
successful.
. Giving the employees proper knowledge of wine and wine paring .
Server
. Explain how various menu items are prepared, describing
ingredients and cooking methods.
. Present menus to patrons and answer questions about menu items,
making recommendations upon request.
. Serve food and/or beverages to patrons; prepare and serve
specialty dishes at tables as required.
. Ensured all supplies were available in work area.
. Ensured every guest was satisfied with their experience and wanted
to come back.
Aug 05-Dec 05
Great Atlantic Management
Virginia Beach, VA
Leasing Consultant
. Responsibilities consist of greeting prospective, marketing
outside clients and converting them into future prospects.
. Respond to internet leads; complete all lease paper work while
complying with Federal and Local Fair Housing regulation and
ordinances.
. Answering incoming calls and handling them accordingly, whether
it is a prospect call, irate resident, service request, etc.
. Retrieve guest card information on all prospects, send thank-
you notes and perform follow ups.
. Physically inspecting the property when on grounds and
reporting any service needs to the maintenance staff.
. Maintained a friendly yet professional atmosphere in the
leasing office and other common areas.
Sep 03- July 05
Professor Moriarty's
Saratoga Springs, NY
Hostess/Server
. Responsible for seating severs at a timely manner.
. Making the guest feel welcome as soon as they walk through the
door.
. Resetting tables and cleaning off dirty dishes.
. Ensured all supplies were available in work area as well as keeping
look out for other servers and what they might need.
. Handle up to 20 tables or more tables on my own.
. Ensured every guest was satisfied with their experience and wanted
to come back.
References Available Upon Request
Contact this candidate